经蝶窦内镜鼻内入路垂体脓肿手术

[Transsphenoidal endoscopic endonasal approach for the surgery of pituitary abscess].

作者信息

Yu Huanxin, Liu Gang

机构信息

Department of Otorhinolaryngology Head and Neck Surgery, Tianjin Huanhu Hospital, Tianjin 300060, China.

Department of Otorhinolaryngology Head and Neck Surgery, Tianjin Huanhu Hospital, Tianjin 300060, China. Email:

出版信息

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2014 Jan;49(1):16-9.

PMID:24680331

Abstract

OBJECTIVE

To evaluate the effectiveness of transsphenoidal endoscopic endonasal approach for the surgery of pituitary abscess.

METHODS

Eighteen pathologically diagnosed pituitary abscess were resected through transsphenoidal endoscopic endonasal approach at Tianjing Huanhu hospital between January 2000 and December 2011.Retrospective analysis was done upon clinical presentations and imaging features. There were 6 males and 12 females. The average age was 48.5 years old and the average disease course was 5.8 years. The typical clinical manifestations included headache (13 cases), pituitary dysfunction (10 cases), Diabetes Insipidus (4 cases) visual interference (8 cases) and fever (4 cases). All cases were resected by transsphenoidal endoscopic endonasal approach with general anesthesia. The postoperative symptoms and follow-up results were recorded.

RESULTS

All patients were followed up from 6 months to 6 years. Postoperatively, headache was recovered in 13 cases, visual was improved in 6 cases, hypopituitarism was relieved in 8 cases and polyuria was disappeared in 3 cases. One case was recurrent and cured by transsphenoidal endoscopic endonasal approach.

CONCLUSIONS

Transsphenoidal endoscopic endonasal approach for the surgery of pituitary abscess is effective.

摘要

目的

评估经鼻蝶窦内镜下经鼻入路手术治疗垂体脓肿的有效性。

方法

回顾性分析2000年1月至2011年12月在天津环湖医院经鼻蝶窦内镜下经鼻入路手术切除的18例经病理诊断的垂体脓肿患者的临床表现和影像学特征。其中男性6例，女性12例。平均年龄48.5岁，平均病程5.8年。典型临床表现包括头痛（13例）、垂体功能障碍（10例）、尿崩症（4例）、视力障碍（8例）和发热（4例）。所有病例均在全身麻醉下经鼻蝶窦内镜下经鼻入路手术切除。记录术后症状及随访结果。